HomeMy WebLinkAboutContract 49566-CO3 CITY SECRETARY
FORT WORTH,: City of Fort Worth CONTRACT NO. 4 9 510 G - CO3
Change Order Request Breakdown
Project Namel Traffic Signal Infrastructure City Sec# 1 49566
Client Project#(s)l CPN 100963
Contractorl EAR Telecommunications PM Ali Mozdbar,P.E. Inspector—Lee Soria
Change Order Submittal# 0 Date 7/16/2018
Contract Time
Dept. TPW Totals CD
Original Contract Amount $500,000.00 $500,000.00
Extras to Date $0.00
Credits to Date $0.00
Pending Change Orders(in M&C Process)
Contract Cost to Date $500,000.00 $500,000.00
Amount of Proposed Change Order
Revised Contract Amount $500,000.00 $500,000.00
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $625,000.00
Additional bid items are needed to complete the work. Bid items that are no longer needed are also being removed.
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RECEN�D
AUG 2 201a OFFICIAL RECORD
C�R�FRRTWORTH CITY SECRETARY
CIZ`( AR`( FT.WORTH,TX
T City of Fort worth
Change Order Additions
Project Name I Traffic Signal Infrastructure City Sec# 49566
Client Project# I CPN 100963
Coftxt EAR Telecommunications PM All Mozdbar,P.E. Inspector Lee Sorla
Change Order Submittal# 0 Date 7/1612018
ADDITIONS
ITEM RIPIlUN DEPT Qty Unit Unitos o a
151 Remove Ped signal heads assembly i
152 Remove traffic signal related signs TPW 5
Install Ped signal heads assembly TPW 80.00000000 EA ---3T5-07.
A-ss—e-mbbre-gZec.signal Head Assembly* TPW 5 .
55 Remove Vehicular Signal LED 1 EA
Install Vehicular Signal LED TPW $50.00
157 Remove Pedestrian Signal LED TP EA
5 Install Pedestrian Signal L EA
raw-cut TPW
Remove asphalt pavement Y
nstaI fine grade asphaltic conc. TPW 5.
Remove concrete pavement(vadous thickness) Y
Concrete pavement(various thickness) TPW
164 Flowablefill TPW 5.00000000Y
Remove back plate on existing head TPW 10.00000000
Install Hybdd Detection(Mounting hardware,processor,cable&setup) TPW —AP P
7 Install Model 711 Preemption Detector PW A
Install Model712-Preemption Detector TPW 10.00000000 $4,0UU.UU
nstall rid smart EA 7 .
Install Radar Advance Detection Device TPW
171 Install Radar Presence Detection Device TPW 10.00000000 FA $300.00- $J,OUO.OU
Install Vantage Camera(Mounting hardware,processor,cable&setup) EA
1 Install -sec head bimodal ens TPW 15.00000000 EA
TPW $125,850.00
Sub Total Additions 1 5, 5 . 1
Change Order Additions Page 1 of 1
FoeT_ Wow City of Fort Worth
T Change Order Deletions
Project Name Traffic Signal Infrastructure City Sec# 49566
Client Project# CPN 100963
Contractorl EAR Telecommunications PM Ali Mozdbar,P.E. Inspector Lee Soria
Change Order Submittal# Date 7/16/2018
DELETIONS
ILM DESCRIPTION DEPT Qty Unit Unit Cost Total
xp oratory Excavation of Existing Utilities
Install Type 44 Signal Pole TPW EA 7.5
Install Type 5 ignal Pole TPW 6.00COOOOO EA 7.5
5 Install Type 46 Signal Pole TPW 6,00000000 EA 7.5
TY 5 Signal Foundation TPW 0 00 EA2, .0
55 Install 48 It Mast Arm T WE
5
Install 52 It Mast Arm TPW 6.00000000 EA $1,129.00
57 Installs ft Mast Arm TPW 6.00000000 EA 1,1
58 Install 60 It Mast Arm TPW EA
DRILL SHAFT(TRF SIG POLE)(48 IN) TPW 60.00052025 LF PT7.0
Replace 3-Sec.Signal Head Assembly TPW 140.00000000 EA 5.
135 Replace sec.Signal Head Assembly TPW EA 5. 0
14T—Replace No.10 Insulated Elector Conductor TPW 581,00000000 LF
7 Replace Ped.Push Button Assembly TPW 22.00000000 EA $90.00 $1,980.00
TPW $125,850.00
Sub Total Deletions 125,850.00
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0,00
CFW Change Order Approval 3 Page 2 of 3
FORT WORTH. city of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 3
Change Order No.: 3 Date Started: 2018-07-24
City Sec. No.: 49566 Date Due: 2018-08-18
Project Name: Traffic Signal Infrastructure
Project Numbers: 100963 DOE Numbers:
Project Installation of traffic signal infrastructure on a task order
Description: basis
Project/Contract
Compliance Scott Arnold City Inspector: Lee Soria
Manager:
Contractor: EAR Telecommunications LLC
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 0.00
Total Cost: $ 0.00 Total Requested Days: 0
Approval Status:
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CFW Change Order Approval 3 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/100963 -TPW-Traffic Signal Infrastructure/Contractor/Change Orders/Copy of
Change Order Breakdown-100963-CO-03.xlsm
Attachments(0)
No Attachments have been added to this form.
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CFW Change Order Approval 3 Page 3 of 3
Approved: Yes
Comments:
User: Carlos Reyes
Date: 2018-08-16 10:47 AM
Approved: Yes
ORP
�o
Comments:
User: Kassem Elkhalil
Date: 2018-08-16 10:50 AM V-� _
Attested by:
Approved: Yes (pl$
Comments:
User: Ali Mozdbar 'y J. I{ay , City ecretary
Date: 2018-08-16 4:17 PM
Approved: Yes
Comments:
User: Richard Martinez M&C: N�A
Date: 2018-08-16 4:49 PM
1295: ^'
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2018-08-16 5:32 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2018-08-17 8:56 PM
Approved: Yes
Comments:
User: Susan Alanis
Date: 2018-08-20 10:08 AM
Action Required:
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&ProcessI... 8/20/2018
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
/
Name of Employee/Signature
CC
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX